| NPI | 1487024204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN NEGRON Speech Language Pathologist 407-910-6230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SA11819) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |